- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00484198
Study of Rivoglitazone in Type 2 Diabetes Mellitus
A Randomized, Double-blind, Placebo and Active Comparator-Controlled, Parallel-Group Study of the Efficacy and Safety of Rivoglitazone as Monotherapy Treatment of Type 2 Diabetes Mellitus
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires
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Loma Verde, Buenos Aires, Argentina
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Zarate, Buenos Aires, Argentina
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Cordoba
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San Vicente, Cordoba, Argentina
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Feldkirch, Austria
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Graz, Austria
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Wien, Austria
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Santiago, Chile
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Temuco, Chile
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Providencia
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Santiago, Providencia, Chile
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Horní Město, Czechia
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Karlovy Vary, Czechia
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Prague, Czechia
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Praha, Czechia
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Usti nad Labem, Czechia
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Vysoký Les, Czechia
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Zlin, Czechia
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Znojmo, Czechia
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Aschaffenburg, Germany
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Augsburg, Germany
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Bad Oeynhausen, Germany
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Berlin, Germany
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Bosenheim, Germany
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Dortmund, Germany
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Dresden, Germany
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Friedrichsthal, Germany
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Giessen, Germany
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Halle, Germany
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Hamburg, Germany
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Kippenheim, Germany
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Mainz, Germany
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Rehlingen, Germany
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Riesa, Germany
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Saarbrucken, Germany
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Saarlouis, Germany
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Siegen, Germany
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Wiesbaden, Germany
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Balatonfured, Hungary
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Bekescsaba, Hungary
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Budapest, Hungary
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Debrecen, Hungary
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Eger, Hungary
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Gyula, Hungary
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Kaposvar, Hungary
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Szentes, Hungary
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Andhra Pradesh
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Hyderabad, Andhra Pradesh, India
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Vijayawada, Andhra Pradesh, India
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Visakhapatnam, Andhra Pradesh, India
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Bangalore
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Vasanth Nagar, Bangalore, India
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Chennai
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Mylapore, Chennai, India
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Ghaziabad
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Shastri Nagar, Ghaziabad, India
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Gujarat
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Ahmedabad, Gujarat, India
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Gandhinagar, Gujarat, India
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Haryana
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Karnal, Haryana, India
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Jaipur
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Sarwa C., Jaipur, India
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Karnataka
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Bangalore, Karnataka, India
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Belgaum, Karnataka, India
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Mangalore, Karnataka, India
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Kerala
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Kochi, Kerala, India
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Madhya Pradesh
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Indore, Madhya Pradesh, India
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Maharashtra
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Mumbai, Maharashtra, India
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Nagpur
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Dhantoli, Nagpur, India
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Ramdaspeth, Nagpur, India
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Rajasthan
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Jaipur, Rajasthan, India
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Tamil Nadu
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Coimbatore, Tamil Nadu, India
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Uttar Pradesh
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Aligarh, Uttar Pradesh, India
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Daugavpils, Latvia
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Kuldiga, Latvia
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Liepaja, Latvia
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Riga, Latvia
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Aguascalientes, Mexico
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Durango, Mexico
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Puebla, Mexico
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Morelos
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Cuernavaca, Morelos, Mexico
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Nuevo Leon
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Monterrey, Nuevo Leon, Mexico
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Toluca
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Metepec, Toluca, Mexico
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Yucatan
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Merida, Yucatan, Mexico
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Lima, Peru
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Lima
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La Victoria, Lima, Peru
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Magdalena del Mar, Lima, Peru
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San Juan de Miraflores, Lima, Peru
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San Martin de Porres, Lima, Peru
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Sucro Lima
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Monterrico, Sucro Lima, Peru
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Rio Piedras, Puerto Rico
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San Juan, Puerto Rico
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Villa Fontana, Puerto Rico, 00983
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Arad, Romania
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Brasov, Romania
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Bucharest, Romania
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Satu Mare, Romania
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Targu Mures, Romania
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Belgrade, Serbia
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Kragujevac, Serbia
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Nis, Serbia
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Subotica, Serbia
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Zemun, Serbia
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Bratislava, Slovakia
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Lucenec, Slovakia
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Moldava nad Bodvou, Slovakia
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Nove Mesto nad Vahom, Slovakia
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Považská Bystrica, Slovakia
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Zilina, Slovakia
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Johannesburg, South Africa
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Port Elizabeth, South Africa
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Dnipropetrovs'k, Ukraine
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Kharkov, Ukraine
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Kiev, Ukraine
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Lviv, Ukraine
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Simferopol, Ukraine
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Chippenham, United Kingdom
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London
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Edmonton, London, United Kingdom
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Middlesex
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Sunbury, Middlesex, United Kingdom
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Surrey
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Addlestone, Surrey, United Kingdom
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West Yorks
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Wakefield, West Yorks, United Kingdom
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Wiltshire
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Swindon, Wiltshire, United Kingdom
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Alabama
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Anniston, Alabama, United States
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Birmingham, Alabama, United States
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Hoover, Alabama, United States
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Muscle Shoals, Alabama, United States
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Arkansas
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Hot Springs, Arkansas, United States
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Jonesboro, Arkansas, United States
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Little Rock, Arkansas, United States
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California
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Buena Park, California, United States
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Garden Grove, California, United States
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Huntington Park, California, United States
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Los Angeles, California, United States
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Paramount, California, United States
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Sacramento, California, United States
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San Diego, California, United States
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Walnut Creek, California, United States
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West Covina, California, United States
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West Hills, California, United States
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Colorado
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Denver, Colorado, United States
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Florida
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Delray Beach, Florida, United States
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Jacksonville, Florida, United States
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Merritt Island, Florida, United States
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Miami, Florida, United States
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Pembroke Pines, Florida, United States
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Tampa, Florida, United States
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Hawaii
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Honolulu, Hawaii, United States
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Idaho
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Boise, Idaho, United States
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Illinois
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Chicago, Illinois, United States
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Indiana
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Evansville, Indiana, United States
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Indianapolis, Indiana, United States
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Kansas
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Wichita, Kansas, United States
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Kentucky
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Madisonville, Kentucky, United States
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Louisiana
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New Orleans, Louisiana, United States
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Slidell, Louisiana, United States
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Massachusetts
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Springfield, Massachusetts, United States
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Michigan
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Portage, Michigan, United States
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Southfield, Michigan, United States
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Missouri
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Saint Louis, Missouri, United States
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New Jersey
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Voorhees, New Jersey, United States
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New York
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Syracuse, New York, United States
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North Carolina
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Morehead City, North Carolina, United States
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Salisbury, North Carolina, United States
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Statesville, North Carolina, United States
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Winston-Salem, North Carolina, United States
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Ohio
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Cincinnati, Ohio, United States
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Cleveland, Ohio, United States
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Delaware, Ohio, United States
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Lyndhurst, Ohio, United States
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Marion, Ohio, United States
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Oklahoma
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Oklahoma City, Oklahoma, United States
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Tulsa, Oklahoma, United States
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Oregon
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Portland, Oregon, United States
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Pennsylvania
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Beaver, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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South Carolina
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Charleston, South Carolina, United States
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Columbia, South Carolina, United States
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Tennessee
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Cleveland, Tennessee, United States
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Kingsport, Tennessee, United States
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New Tazewell, Tennessee, United States
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Texas
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Carrollton, Texas, United States
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Conroe, Texas, United States
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Corpus Christi, Texas, United States
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Dallas, Texas, United States
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El Paso, Texas, United States
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Garland, Texas, United States
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Irving, Texas, United States
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Midland, Texas, United States
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San Antonio, Texas, United States
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Virginia
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Richmond, Virginia, United States
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Washington
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Olympia, Washington, United States
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Wisconsin
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Milwaukee, Wisconsin, United States
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosis of type 2 diabetes
- Male or female at least 18 years of age
- Hemoglobin A1C > 7% and less or equal to 8.5%
- Non-fasting C-peptide > 0.5 ng/mL
- Current monotherapy treatment with stable dose of approved non-Thiazolidinedione (TZD) antihyperglycemic medication for greater or equal to 3 months prior to screening or
- Untreated with any antihyperglycemic agent during 2 months prior to screening
Exclusion Criteria:
- History of type 1 diabetes or ketoacidosis
- History of long-term therapy with insulin
- Body Mass Index (BMI) > 45 kg/m^2
- Known history of Congestive Heart Failure (CHF)
- Impaired hepatic function
- History of prior treatment failure with, or intolerance of, a TZD
- Contraindication to treatment with pioglitazone
- Treatment with fibrates
- If untreated with oral antihyperglycemic, considered to have failed diet and exercise modification as the sole treatment for type 2 diabetes
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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PLACEBO_COMPARATOR: 1
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Rivoglitazone-matching placebo administered as a tablet orally, once daily or a pioglitazone-matching placebo administered as an over-encapsulated tablet orally, once daily capsule
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EXPERIMENTAL: 2
Rivoglitazone 1.0 mg
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1.0 mg tablet administered orally, once daily
1.5 mg tablet administered orally, once daily
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EXPERIMENTAL: 3
Rivoglitazone 1.5 mg
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1.0 mg tablet administered orally, once daily
1.5 mg tablet administered orally, once daily
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ACTIVE_COMPARATOR: 4
Pioglitazone 45 mg
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45 mg over-encapsulated tablet administered orally, once daily
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Hemoglobin A1c at Baseline and Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to week 26 post-dose
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Percentage of hemoglobin A1c (HbA1c) levels are reported.
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Baseline up to week 26 post-dose
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Change in Hemoglobin A1c From Baseline Through Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to 26 weeks post-dose
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Percent change in hemoglobin (HbA1c) levels are reported.
Greater (negative) percent change indicates improvement.
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Baseline up to 26 weeks post-dose
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Fasting Plasma Glucose From Baseline Through Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to week 26 post-dose
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Normal fasting plasma glucose (FPG) levels are being reported.
Normal FPG levels range from 70-110 mg/dL.
Lower FPG values indicates better clinical outcome, ie.
improvement in FPG.
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Baseline up to week 26 post-dose
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Change in Fasting Plasma Glucose From Baseline Through Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to 26 weeks post-dose
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The change in normal fasting plasma glucose (FPG) levels are being reported.
A greater (negative) change from baseline indicates an improvement in FPG.
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Baseline up to 26 weeks post-dose
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Homeostasis Model Assessment Index for Insulin Resistance At Baseline To Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to week 26 post-dose
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Homeostasis Model Assessment index for Insulin Resistance (HOMA-IR) was calculated as: (fasting insulin concentration [μU/mL] x fasting glucose concentration [mmol/L])/22.5 Low HOMA-IR scores indicate high insulin sensitivity, whereas high HOMA-IR scores indicate low insulin sensitivity (insulin resistance). A normal HOMA-IR score is <2.60, HOMA-IR scores 2.60-3.80 are considered "borderline high", and HOMA-IR scores >3.80 are considered "high" and have correlations of insulin resistance. High HOMA-IR scores indicate worse outcome. |
Baseline up to week 26 post-dose
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Change in Homeostasis Model Assessment Index for Insulin Resistance At Baseline To Week 26 Endpoint With Last Observation Carried Forward Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to 26 weeks post-dose
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The change in the Homeostasis Model Assessment index for Insulin Resistance (HOMA-IR) was calculated as: (fasting insulin concentration [μU/mL] x fasting glucose concentration [mmol/L])/22.5 Low HOMA-IR scores indicate high insulin sensitivity, whereas high HOMA-IR scores indicate low insulin sensitivity (insulin resistance). A normal HOMA-IR score is <2.60, HOMA-IR scores 2.60-3.80 are considered "borderline high", and HOMA-IR scores >3.80 are considered "high" and have correlations of insulin resistance. A negative HOMA-IR score indicates an improvement in insulin sensitivity. |
Baseline up to 26 weeks post-dose
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Total Cholesterol At Baseline To Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to week 26 post-dose
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Total cholesterol is a measure of the total amount of cholesterol in the blood, including low-density lipoprotein cholesterol (LDL-C) - the "bad" cholesterol, high-density lipoprotein cholesterol (HDL-C) - the "good" cholesterol, and triglycerides.
The equation to calculate total cholesterol is: LDL + HDL + (triglycerides/5) = total cholesterol.
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Baseline up to week 26 post-dose
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Percent Change in Total Cholesterol From Baseline to Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to 26 weeks post-dose
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Total cholesterol is a measure of the total amount of cholesterol in the blood, including low-density lipoprotein cholesterol (LDL-C) - the "bad" cholesterol, high-density lipoprotein cholesterol (HDL-C) - the "good" cholesterol, and triglycerides.
The equation to calculate total cholesterol is: LDL + HDL + (triglycerides/5) = total cholesterol.
Higher percent change in total cholesterol indicates better outcome, ie.
improvement.
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Baseline up to 26 weeks post-dose
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Total Triglycerides At Baseline To Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to Week 26 post-dose
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Total Triglycerides (TG) is a measure of the total amount of triglycerides in the blood.
The equation to calculate total triglycerides is: (total cholesterol-Low-density Lipoprotein cholesterol (LDL- C) - High-density lipoprotein cholesterol (HDL- C)) x 5 = Total Triglycerides.
Normal triglyceride levels are below 150 mg/dL.
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Baseline up to Week 26 post-dose
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Percent Change in Total Triglycerides From Baseline to Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to 26 weeks post-dose
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Total Triglycerides (TG) is a measure of the total amount of triglycerides in the blood.
The equation to calculate total triglycerides is: (total cholesterol-Low-density Lipoprotein cholesterol (LDL- C) - High-density lipoprotein cholesterol (HDL- C)) x 5 = Total Triglycerides.
A negative change means better outcome, ie.
improvement.
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Baseline up to 26 weeks post-dose
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Low-Density Lipoprotein Cholesterol At Baseline To Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to Week 26 post-dose
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Low-density lipoprotein cholesterol (LDL-C), "bad" cholesterol, is a measure of the total amount of low-density lipoprotein cholesterol in the blood.
Normal LDL levels are <100 mg/dL.
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Baseline up to Week 26 post-dose
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Percent Change in Low-Density Lipoprotein Cholesterol From Baseline to Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to 26 weeks post-dose
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Low-density lipoprotein cholesterol (LDL-C), "bad" cholesterol, is a measure of the total amount of low-density lipoprotein cholesterol in the blood.
A higher percent change indicates improvement.
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Baseline up to 26 weeks post-dose
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High-Density Lipoprotein Cholesterol At Baseline To Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline to Week 26 post-dose
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High-density lipoprotein cholesterol (HDL-C), "good" cholesterol, is a measure of the total amount of high-density lipoprotein cholesterol in the blood.
Normal HDL levels are >40 mg/dL.
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Baseline to Week 26 post-dose
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Percent Change in High-Density Lipoprotein Cholesterol From Baseline to Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline to 26 weeks post-dose
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High-density lipoprotein cholesterol (HDL-C), "good" cholesterol, is a measure of the total amount of high-density lipoprotein cholesterol in the blood.
A higher percent change indicates improvement.
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Baseline to 26 weeks post-dose
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Apolipoprotein A-I At Baseline To Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline to Week 26 post-dose
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Apolipoprotein (Apo) A-I levels, a measure of the total amount of Apolipoprotein (Apo) A-I in the blood, are being reported.
Normal Apo A-1 levels range from 120-140 mg/dL.
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Baseline to Week 26 post-dose
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Percent Change in Apolipoprotein A-I From Baseline to Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to 26 weeks post-dose
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Apolipoprotein (Apo) A-I is a measure of the total amount of Apolipoprotein (Apo) A-I in the blood.
Decreased ApoA-1 levels are associated with poor clinical outcome.
A lower percent change in ApoA-1 levels indicates an improvement in clinical outcome.
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Baseline up to 26 weeks post-dose
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Apolipoprotein B At Baseline To Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline to Week 26 post-dose
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Apolipoprotein (Apo) B, a measure of the total amount of Apo B in the blood, is being reported.
Normal Apo B levels are <100 mg/dL.
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Baseline to Week 26 post-dose
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Percent Change in Apolipoprotein B From Baseline to Week 26 Endpoint With Last Observation Carried Forward (LOCF) Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to 26 weeks post-dose
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Apolipoprotein (Apo) B, a measure of the total amount of Apo B in the blood, is being reported.
A greater (negative) percent change in ApoB levels indicated an improvement in clinical outcome.
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Baseline up to 26 weeks post-dose
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Hemoglobin A1c at Baseline and Week 52 Extension Period Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to Week 52 post-dose
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Percentage of hemoglobin A1c (HbA1c) levels are reported.
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Baseline up to Week 52 post-dose
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Change in Hemoglobin A1c From Baseline Through Week 52 Extension Period Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to 52 weeks post-dose
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Change in hemoglobin (HbA1c) levels are reported.
Greater (negative) percent change indicates improvement.
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Baseline up to 52 weeks post-dose
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Fasting Plasma Glucose From Baseline Through Week 52 Extension Period Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to Week 52 post-dose
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Normal fasting plasma glucose (FPG) levels are being reported.
Normal FPG levels range from 70-110 mg/dL.
Lower FPG values indicates better clinical outcome, ie.
improvement in FPG.
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Baseline up to Week 52 post-dose
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Change in Fasting Plasma Glucose From Baseline Through Week 52 Extension Period Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Baseline up to 52 weeks post-dose
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The change in normal fasting plasma glucose (FPG) levels are being reported.
A greater (negative) change from baseline indicates an improvement in FPG.
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Baseline up to 52 weeks post-dose
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Drug-Related Treatment-Emergent Adverse Events Reported by ≥1% Participants Following Rivoglitazone or Pioglitazone Compared to Placebo as Monotherapy Treatment of Type 2 Diabetes Mellitus
Time Frame: Week -2 up to Week 52 post-dose
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Treatment-emergent adverse events (TEAEs) were defined as adverse events (AEs) that occurred on or after the first dose of double-blind study medication, and ongoing AEs that started prior to the first dose of double-blind study medication and increased in severity on or after the first dose of double-blind study medication.
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Week -2 up to Week 52 post-dose
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CS0011-A-U301
- 2006-005047-28 (EUDRACT_NUMBER)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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